Healthcare Provider Details

I. General information

NPI: 1306875695
Provider Name (Legal Business Name): YOUTH VILLAGES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 BROTHER BLVD
BARTLETT TN
38133-8950
US

IV. Provider business mailing address

3320 BROTHER BLVD
BARTLETT TN
38133-8950
US

V. Phone/Fax

Practice location:
  • Phone: 901-251-5000
  • Fax: 901-251-5001
Mailing address:
  • Phone: 901-251-5000
  • Fax: 901-251-5001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK W. LAWLER
Title or Position: CEO
Credential:
Phone: 901-251-5000